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1528248507 NPI number — CARLA KAY OWEN MAMFT

NPI Number: 1528248507
Health Care Provider/Practitioner: CARLA KAY OWEN MAMFT

Information about “1528248507” NPI (CARLA KAY OWEN MAMFT) exists in 1528248507 in HTML format HTML  |  1528248507 in plain Text format TXT  |  1528248507 in PDF (Portable Document Format) PDF  |  1528248507 in an XML format XML  formats.

NPI Number : 1528248507 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528248507",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OWEN",
    "FirstName": "CARLA",
    "MiddleName": "KAY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MAMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DORSEY",
    "OtherFirstName": "CARLA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4400 N LINCOLN BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OKLAHOMA CITY",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73105-5104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-737-1126",
    "MailingAddressFaxNumber": "405-425-0312",
    "FirstLinePracticeLocationAddress": "4404 N LINCOLN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73105-5104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-423-7711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2007",
    "LastUpdateDate": "01/03/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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